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DOI: 10.1055/a-2239-0123
Internistische Erkrankungen und Zusammenhang mit dem primären Offenwinkelglaukom
Article in several languages: English | deutschAuthors

Zusammenfassung
Das primäre Offenwinkelglaukom (POWG) stellt eine neurodegenerative Erkrankung dar, in dessen Verlauf es zu einer glaukomatösen Optikusatrophie mit korrespondierenden Gesichtsfelddefekten kommt. In dieser Literaturübersicht werden Zusammenhänge zu internistischen Erkrankungen berichtet und die zugrunde liegende Pathophysiologie diskutiert. Hierbei wird die arterielle Hypertonie und Hypotonie, Diabetes mellitus, Dyslipidämien, obstruktive Schlafapnoe, chronischer Nierenerkrankung und Migräne diskutiert sowie Zusammenhänge mit der Einnahme von Medikamenten bei systemischen Erkrankungen näher betrachten.
Publication History
Received: 26 October 2023
Accepted: 15 December 2023
Article published online:
27 February 2024
© 2024. Thieme. All rights reserved.
Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany
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References/Literatur
- 1
Tham YC,
Cheng CY.
Associations between chronic systemic diseases and primary open angle glaucoma: an
epidemiological perspective. Clin Exp Ophthalmol 2017; 45: 24-32
Reference Ris Wihthout Link
- 2
Claessen H,
Kvitkina T,
Narres M.
et al.
Markedly decreasing incidence of cause-specific blindness in Saxony (Eastern Germany).
Graefes Arch Clin Exp Ophthalmol 2021; 259: 1089-1101
Reference Ris Wihthout Link
- 3
Huber M,
Kölzsch M,
Stahlmann R.
et al.
Ophthalmic drugs as part of polypharmacy in nursing home residents with glaucoma.
Drugs Aging 2013; 30: 31-38
Reference Ris Wihthout Link
- 4
[Anonymous]
Worldwide trends in hypertension prevalence and progress in treatment and control
from 1990 to 2019: a pooled analysis of 1201 population-representative studies with
104 million participants. Lancet 2021; 398: 957-980
Reference Ris Wihthout Link
- 5
Mitchell P,
Lee AJ,
Rochtchina E.
et al.
Open-angle glaucoma and systemic hypertension: the blue mountains eye study. J Glaucoma
2004; 13: 319-326
Reference Ris Wihthout Link
- 6
Dielemans I,
Vingerling JR,
Algra D.
et al.
Primary open-angle glaucoma, intraocular pressure, and systemic blood pressure in
the general elderly population. The Rotterdam Study. Ophthalmology 1995; 102: 54-60
Reference Ris Wihthout Link
- 7
Sun J,
Zhou X,
Kang Y.
et al.
Prevalence and risk factors for primary open-angle glaucoma in a rural northeast China
population: a population-based survey in Bin County, Harbin. Eye (Lond) 2012; 26:
283-291
Reference Ris Wihthout Link
- 8
Wang S,
Xu L,
Jonas JB.
et al.
Major eye diseases and risk factors associated with systemic hypertension in an adult
Chinese population: the Beijing Eye Study. Ophthalmology 2009; 116: 2373-2380
Reference Ris Wihthout Link
- 9
Zhao D,
Cho J,
Kim MH.
et al.
The association of blood pressure and primary open-angle glaucoma: a meta-analysis.
Am J Ophthalmol 2014; 158: 615-627.9
Reference Ris Wihthout Link
- 10
Xu L,
Wang H,
Wang Y.
et al.
Intraocular pressure correlated with arterial blood pressure: the Beijing eye study.
Am J Ophthalmol 2007; 144: 461-462
Reference Ris Wihthout Link
- 11
Flammer J,
Orgül S,
Costa VP.
et al.
The impact of ocular blood flow in glaucoma. Prog Retin Eye Res 2002; 21: 359-393
Reference Ris Wihthout Link
- 12
Van Eijgen J,
Melgarejo JD,
Van Laeken J.
et al.
The relevance of arterial blood pressure in the management of glaucoma progression:
a systematic review. Am J Hypertens 2023;
Reference Ris Wihthout Link
- 13
Tielsch JM,
Katz J,
Sommer A.
et al.
Hypertension, perfusion pressure, and primary open-angle glaucoma. A population-based
assessment. Arch Ophthalmol 1995; 113: 216-221
Reference Ris Wihthout Link
- 14
Hayreh SS.
Role of nocturnal arterial hypotension in the development of ocular manifestations
of systemic arterial hypertension. Curr Opin Ophthalmol 1999; 10: 474-482
Reference Ris Wihthout Link
- 15
Wong TY,
Mitchell P.
The eye in hypertension. Lancet 2007; 369: 425-435
Reference Ris Wihthout Link
- 16
Memarzadeh F,
Ying-Lai M,
Chung J.
et al.
Blood pressure, perfusion pressure, and open-angle glaucoma: the Los Angeles Latino
Eye Study. Invest Ophthalmol Vis Sci 2010; 51: 2872-2877
Reference Ris Wihthout Link
- 17
Grunwald JE,
Piltz J,
Hariprasad SM.
et al.
Optic nerve blood flow in glaucoma: effect of systemic hypertension. Am J Ophthalmol
1999; 127: 516-522
Reference Ris Wihthout Link
- 18
Graham SL,
Drance SM.
Nocturnal hypotension: role in glaucoma progression. Surv Ophthalmol 1999; 43 (Suppl.
1) S10-S16
Reference Ris Wihthout Link
- 19
Middeke M.
Hypertonie: Die Krux der RR-Variabilität. Dtsch Arztebl 2014; 111: 4-8
Reference Ris Wihthout Link
- 20
Melgarejo JD,
Eijgen JV,
Wei D.
et al.
Effect of 24-h blood pressure dysregulations and reduced ocular perfusion pressure
in open-angle glaucoma progression. J Hypertens 2023; 41: 1785-1792
Reference Ris Wihthout Link
- 21
Lin KY,
Hsih WH,
Lin YB.
et al.
Update in the epidemiology, risk factors, screening, and treatment of diabetic retinopathy.
J Diabetes Investig 2021; 12: 1322-1325
Reference Ris Wihthout Link
- 22
Zhao D,
Cho J,
Kim MH.
et al.
Diabetes, fasting glucose, and the risk of glaucoma: a meta-analysis. Ophthalmology
2015; 122: 72-78
Reference Ris Wihthout Link
- 23
Li Y,
Mitchell W,
Elze T.
et al.
Association Between Diabetes, Diabetic Retinopathy, and Glaucoma. Curr Diab Rep 2021;
21: 38
Reference Ris Wihthout Link
- 24
Cohen E,
Kramer M,
Shochat T.
et al.
Relationship Between Serum Glucose Levels and Intraocular Pressure, a Population-based
Cross-sectional Study. J Glaucoma 2017; 26: 652-656
Reference Ris Wihthout Link
- 25
Li Y,
Mitchell W,
Elze T.
et al.
Association Between Diabetes, Diabetic Retinopathy, and Glaucoma. Curr Diab Rep 2021;
21: 38
Reference Ris Wihthout Link
- 26
Wang Y,
Fawzi AA,
Varma R.
et al.
Pilot study of optical coherence tomography measurement of retinal blood flow in retinal
and optic nerve diseases. Invest Ophthalmol Vis Sci 2011; 52: 840-845
Reference Ris Wihthout Link
- 27
Dimitrova G,
Chihara E,
Takahashi H.
et al.
Quantitative Retinal Optical Coherence Tomography Angiography in Patients With Diabetes
Without Diabetic Retinopathy. Invest Ophthalmol Vis Sci 2017; 58: 190-196
Reference Ris Wihthout Link
- 28
Kannel WB,
Castelli WP,
Gordon T.
Cholesterol in the prediction of atherosclerotic disease. New perspectives based on
the Framingham study. Ann Intern Med 1979; 90: 85-91
Reference Ris Wihthout Link
- 29
Huang G,
Wang J,
Li L.
et al.
Meta-Analysis of Dyslipidemia and Blood Lipid Parameters on the Risk of Primary Open-Angle
Glaucoma. Comput Math Methods Med 2022; 2022: 1122994
Reference Ris Wihthout Link
- 30
Nusinovici S,
Li H,
Thakur S.
et al.
High-Density Lipoprotein 3 Cholesterol and Primary Open-Angle Glaucoma: Metabolomics
and Mendelian Randomization Analyses. Ophthalmology 2022; 129: 285-294
Reference Ris Wihthout Link
- 31
Zeleznik OA,
Kang JH,
Lasky-Su J.
et al.
Plasma metabolite profile for primary open-angle glaucoma in three US cohorts and
the UK Biobank. Nat Commun 2023; 14: 2860
Reference Ris Wihthout Link
- 32
Madjedi KM,
Stuart KV,
Chua SYL.
et al.
The Association between Serum Lipids and Intraocular Pressure in 2 Large United Kingdom
Cohorts. Ophthalmology 2022; 129: 986-996
Reference Ris Wihthout Link
- 33
Pertl L,
Mossböck G,
Wedrich A.
et al.
Triglycerides and Open Angle Glaucoma – A Meta-analysis with meta-regression. Sci
Rep 2017; 7: 7829
Reference Ris Wihthout Link
- 34
Jordan AS,
McSharry DG,
Malhotra A.
Adult obstructive sleep apnoea. Lancet 2014; 383: 736-747
Reference Ris Wihthout Link
- 35
Chaitanya A,
Pai VH,
Mohapatra AK.
et al.
Glaucoma and its association with obstructive sleep apnea: A narrative review. Oman
J Ophthalmol 2016; 9: 125-134
Reference Ris Wihthout Link
- 36
Shi Y,
Liu P,
Guan J.
et al.
Association between glaucoma and obstructive sleep apnea syndrome: a meta-analysis
and systematic review. PLoS One 2015; 10: e0115625
Reference Ris Wihthout Link
- 37
Liu S,
Lin Y,
Liu X.
Meta-Analysis of Association of Obstructive Sleep Apnea With Glaucoma. J Glaucoma
2016; 25: 1-7
Reference Ris Wihthout Link
- 38
Cheong AJY,
Wang SKX,
Woon CY.
et al.
Obstructive sleep apnoea and glaucoma: a systematic review and meta-analysis. Eye
(Lond) 2023; 37: 3065-3083
Reference Ris Wihthout Link
- 39
Wu X,
Liu H.
Obstructive sleep apnea/hypopnea syndrome increases glaucoma risk: evidence from a
meta-analysis. Int J Clin Exp Med 2015; 8: 297-303
Reference Ris Wihthout Link
- 40
Girkin CA,
McGwin jr. G,
McNeal SF.
et al.
Is there an association between pre-existing sleep apnoea and the development of glaucoma?.
Br J Ophthalmol 2006; 90: 679-681
Reference Ris Wihthout Link
- 41
Muniesa M,
Sánchez-de-la-Torre M,
Huerva V.
et al.
Floppy eyelid syndrome as an indicator of the presence of glaucoma in patients with
obstructive sleep apnea. J Glaucoma 2014; 23: e81-e85
Reference Ris Wihthout Link
- 42
Fan YY,
Su WW,
Liu CH.
et al.
Correlation between structural progression in glaucoma and obstructive sleep apnea.
Eye (Lond) 2019; 33: 1459-1465
Reference Ris Wihthout Link
- 43
Kiekens S,
De Groot V,
Coeckelbergh T.
et al.
Continuous positive airway pressure therapy is associated with an increase in intraocular
pressure in obstructive sleep apnea. Invest Ophthalmol Vis Sci 2008; 49: 934-940
Reference Ris Wihthout Link
- 44
Ng FYC,
Song H,
Tan BKJ.
et al.
Bidirectional association between glaucoma and chronic kidney disease: A systematic
review and meta-analysis. EClinicalMedicine 2022; 49: 101498
Reference Ris Wihthout Link
- 45
Cho HK,
Han JC,
Choi JA.
et al.
Association Between Chronic Renal Disease and the Risk of Glaucoma Development: A
12-year Nationwide Cohort Study. Invest Ophthalmol Vis Sci 2021; 62: 27
Reference Ris Wihthout Link
- 46
Tham YC,
Tao Y,
Zhang L.
et al.
Is kidney function associated with primary open-angle glaucoma? Findings from the
Asian Eye Epidemiology Consortium. Br J Ophthalmol 2020; 104: 1298-1303
Reference Ris Wihthout Link
- 47
Tham YC,
Lim SH,
Gupta P.
et al.
Inter-relationship between ocular perfusion pressure, blood pressure, intraocular
pressure profiles and primary open-angle glaucoma: the Singapore Epidemiology of Eye
Diseases study. Br J Ophthalmol 2018; 102: 1402-1406
Reference Ris Wihthout Link
- 48
Holappa M,
Vapaatalo H,
Vaajanen A.
Many Faces of Renin-angiotensin System – Focus on Eye. Open Ophthalmol J 2017; 11:
122-142
Reference Ris Wihthout Link
- 49
Izzotti A,
Bagnis A,
Saccà SC.
The role of oxidative stress in glaucoma. Mutat Res 2006; 612: 105-114
Reference Ris Wihthout Link
- 50
Lv W,
Booz GW,
Fan F.
et al.
Oxidative Stress and Renal Fibrosis: Recent Insights for the Development of Novel
Therapeutic Strategies. Front Physiol 2018; 9: 105
Reference Ris Wihthout Link
- 51
Nongpiur ME,
Wong TY,
Sabanayagam C.
et al.
Chronic kidney disease and intraocular pressure: the Singapore Malay Eye Study. Ophthalmology
2010; 117: 477-483
Reference Ris Wihthout Link
- 52
Hu J,
Bui KM,
Patel KH.
et al.
Effect of hemodialysis on intraocular pressure and ocular perfusion pressure. JAMA
Ophthalmol 2013; 131: 1525-1531
Reference Ris Wihthout Link
- 53
Lee JY,
Kim JM,
Shim SH.
et al.
Association Between Optic Disc Hemorrhage and Renal Function in South Korea. J Glaucoma
2018; 27: 251-256
Reference Ris Wihthout Link
- 54
Wang YC,
Ling XC,
Tsai WH.
et al.
Risks of Topical Carbonic Anhydrase Inhibitors in Glaucoma Patients With Chronic Kidney
Disease: A Nationwide Population-Based Study. Am J Ophthalmol 2023; 253: 49-55
Reference Ris Wihthout Link
- 55
Stewart WF,
Wood C,
Reed ML.
et al.
Cumulative lifetime migraine incidence in women and men. Cephalalgia 2008; 28: 1170-1178
Reference Ris Wihthout Link
- 56
Breslau N,
Rasmussen BK.
The impact of migraine: Epidemiology, risk factors, and co-morbidities. Neurology
2001; 56 (6 Suppl. 1): S4-S12
Reference Ris Wihthout Link
- 57
Bashir A,
Lipton RB,
Ashina S.
et al.
Migraine and structural changes in the brain: a systematic review and meta-analysis.
Neurology 2013; 81: 1260-1268
Reference Ris Wihthout Link
- 58
Dalkara T,
Nozari A,
Moskowitz MA.
Migraine aura pathophysiology: the role of blood vessels and microembolisation. Lancet
Neurol 2010; 9: 309-317
Reference Ris Wihthout Link
- 59
Gramer G,
Weber BH,
Gramer E.
Migraine and Vasospasm in Glaucoma: Age-Related Evaluation of 2027 Patients With Glaucoma
or Ocular Hypertension. Invest Ophthalmol Vis Sci 2015; 56: 7999-8007
Reference Ris Wihthout Link
- 60
Noseda R,
Burstein R.
Migraine pathophysiology: anatomy of the trigeminovascular pathway and associated
neurological symptoms, cortical spreading depression, sensitization, and modulation
of pain. Pain 2013; 154 (Suppl. 1) S44-S53
Reference Ris Wihthout Link
- 61
Klein BE,
Klein R,
Meuer SM.
et al.
Migraine headache and its association with open-angle glaucoma: the Beaver Dam Eye
Study. Invest Ophthalmol Vis Sci 1993; 34: 3024-3027
Reference Ris Wihthout Link
- 62
Wang JJ,
Mitchell P,
Smith W.
Is there an association between migraine headache and open-angle glaucoma? Findings
from the Blue Mountains Eye Study. Ophthalmology 1997; 104: 1714-1719
Reference Ris Wihthout Link
- 63
Huang JY,
Su CC,
Wang TH.
et al.
Migraine and increased risk of developing open angle glaucoma: a population-based
cohort study. BMC Ophthalmol 2019; 19: 50
Reference Ris Wihthout Link
- 64
Xu C,
Li J,
Li Z.
et al.
Migraine as a risk factor for primary open angle glaucoma: A systematic review and
meta-analysis. Medicine (Baltimore) 2018; 97: e11377
Reference Ris Wihthout Link
- 65
Wu A,
Khawaja AP,
Pasquale LR.
et al.
A review of systemic medications that may modulate the risk of glaucoma. Eye (Lond)
2020; 34: 12-28
Reference Ris Wihthout Link
- 66
Zheng W,
Dryja TP,
Wei Z.
et al.
Systemic Medication Associations with Presumed Advanced or Uncontrolled Primary Open-Angle
Glaucoma. Ophthalmology 2018; 125: 984-993
Reference Ris Wihthout Link
- 67
Wettrell K,
Pandolfi M.
Effect of oral administration of various beta-blocking agents on the intraocular pressure
in healthy volunteers. Exp Eye Res 1975; 21: 451-456
Reference Ris Wihthout Link
- 68
Ho H,
Shi Y,
Chua J.
et al.
Association of Systemic Medication Use With Intraocular Pressure in a Multiethnic
Asian Population: The Singapore Epidemiology of Eye Diseases Study. JAMA Ophthalmol
2017; 135: 196-202
Reference Ris Wihthout Link
- 69
Kim J,
Kennedy Neary MT,
Aschard H.
et al.
Statin Use in Relation to Intraocular Pressure, Glaucoma, and Ocular Coherence Tomography
Parameters in the UK Biobank. Invest Ophthalmol Vis Sci 2022; 63: 31
Reference Ris Wihthout Link
- 70
Vergroesen JE,
Schuster AK,
Stuart KV.
et al.
Association of Systemic Medication Use with Glaucoma and Intraocular Pressure: The
European Eye Epidemiology Consortium. Ophthalmology 2023; 130: 893-906
Reference Ris Wihthout Link
- 71
Abernethy DR,
Schwartz JB.
Calcium-antagonist drugs. N Engl J Med 1999; 341: 1447-1457
Reference Ris Wihthout Link
- 72
Osborne NN,
Casson RJ,
Wood JP.
et al.
Retinal ischemia: mechanisms of damage and potential therapeutic strategies. Prog
Retin Eye Res 2004; 23: 91-147
Reference Ris Wihthout Link
- 73
Araie M,
Mayama C.
Use of calcium channel blockers for glaucoma. Prog Retin Eye Res 2011; 30: 54-71
Reference Ris Wihthout Link